Dokha (Arabic: دوخة, "dizziness" or "vertigo") is a tobacco product, consisting of dried and finely shredded tobacco flakes mixed with herbs and spices. It originated in Iran during the 16th century.[1] Unlike hookah tobacco (also called "shisha" or "mu'assel"), dokha is not cured with molasses. Users smoke the tobacco blend in small quantities using a pipe called a midwakh. Because the midwakh pipe is used almost exclusively for smoking dokha, the terms are often used interchangeably.[2]
Dokha has a higher concentration of nicotine compared to other forms of tobacco,[3] and can cause brief periods of euphoria, relaxation or lightheadedness in some users.[4] As using the midwakh also reportedly leaves fewer lingering smells, and requires less tobacco to be used at a time, it can be used discreetly, which has made it popular among student populations and young adults.[5][6]
The product is popular in the United Arab Emirates (UAE), Oman, Qatar, Saudi Arabia, Yemen, Bahrain, Jordan, and other Middle Eastern countries.[2][7] It has reportedly spread to Europe, Bhatkal in India and other regions via immigration, tourism and trade.[8][9] Scientific research on the health effects of dokha use is lacking, but officials have concerns over the use of the product as a touted cigarette alternative,[10] and preliminary studies have quantified dokha's high nicotine and tar concentration, as well as toxins present in its smoke.[11] Notable concern in the UAE over the spreading popularity of dokha among teenagers and young adults has led to multiple tobacco control efforts to curb its use.[12][13]
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